Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
Their organs are very immature and the structure obscure. When they have
quieted down somewhat in a preparation it may be seen that at the head
end there is a six-lipped and very delicate prepuce, enclosing a short
"fang" which may be suddenly exserted and retracted. Completely
enclosing the larva is a delicate sheath, which is considerably longer
than the worm itself. To enter into further details of anatomy is beyond
the scope of this discussion and readers interested are referred to the
work of Manson and of Fülleborn.
One of the most surprising features of the habits of these larvæ is the
periodicity which they exhibit in their occurrence in the peripheral
blood. If a preparation be made during the day time there may be no
evidence whatever of filarial infestation, whereas a preparation from
the same patient taken late in the evening or during the night may be
literally swarming with the parasites. Manson quotes Mackenzie as having
brought out the further interesting fact that should a "filarial subject
be made to sleep during the day and remain awake at night, the
periodicity is reversed; that is to say, the parasites come into the
blood during the day and disappear from it during the night." There have
been numerous attempts to explain this peculiar phenomenon of
periodicity but in spite of objections which have been raised, the most
plausible remains that of Manson, who believes that it is an adaptation
correlated with the life-habits of the liberating agent of the parasite,
the mosquito.
The next stages in the development of _Filaria nocturna_ occur in
mosquitoes, a fact suggested almost simultaneously by Bancroft and
Manson in 1877, and first demonstrated by the latter very soon
thereafter. The experiments were first carried out with _Culex
quinquefasciatus_ (= _fatigans_) as a host, but it is now known that a
number of species of mosquitoes, both anopheline and culicine, may serve
equally well.
When the blood of an infested individual is sucked up and reaches the
stomach of such a mosquito, the larvæ, by very active movements, escape
from their sheaths and within a very few hours actively migrate to the
body cavity of their new host and settle down primarily in the thoracic
muscles. There in the course of sixteen to twenty days they undergo a
metamorphosis of which the more conspicuous features are the formation
of a mouth, an alimentary canal and a trilobed tail. At the same time
there is an enormous increase in size, the larvæ which measured .3 mm.
in the blood becoming 1.5 mm. in length. This developmental period may
be somewhat shortened in some cases and on the other hand may be
considerably extended. The controlling factor seems to be the one of
temperature.
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